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. 2012 Sep;1(3):253-5.
doi: 10.1177/2048872612455122.

Myopericarditis and severe myocardial dysfunction as the initial manifestation of systemic lupus erythematosus

Joaquín S Peñataro  1 , Ana De Mingo, Ana Del Río, José A Martínez, Magda Heras, Ander Regueiro
Affiliations

Myopericarditis and severe myocardial dysfunction as the initial manifestation of systemic lupus erythematosus

Joaquín S Peñataro et al. Eur Heart J Acute Cardiovasc Care. 2012 Sep.

Abstract

Pericarditis is the most frequent cardiac manifestation of systemic lupus erythematosus (SLE). However, a large pericardial effusion as the initial manifestation of the disease is infrequent, especially when it is associated with myocardial damage. We describe an unusual case of a young female with pleuropericarditis and severe myocardial dysfunction as the initial manifestation of SLE.

Keywords: Pericarditis; clinical onset; myocarditis; pleural effusion; systemic lupus erythematosus.

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Conflict of interest statement

Conflict of interest: None declared.

Figures

Figure 1.
Figure 1.
(A) 12-lead electrocardiogram (ECG) showing sinus tachycardia, diffuse ST segment elevation <0.05 mV in leads I, II, III, aVF and V5–V6. Negative T-wave in V3–4 and DIII; (B) Chest X-ray that depicts slightly increased cardiothoracic index (0.6) and mild left pleural effusion; (C) Thoracoabdominal CT-scan revealed a mild left pleural effusion and a severe pericardial effusion; (D) Contrast-enhanced cardiac magnetic resonance (CE-CMR). Left: short-axis view without late delayed enhancement after injection of gadolinium; right: T2-weighted sequence short-axis view without evidence of significant myocardial edema.
See this image and copyright information in PMC

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